Organization Active NPI

Fame Pediatrics PA

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1508229394
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FAME PEDIATRICS PA
Practice address
11003 Resource Pkwy
Suite 105
Houston, TX 77089-6141
Phone
(713) 955-7436
Fax
(281) 741-9475
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muhammad Farrukh Noor, MDNPI 1760701551
Title
Authorized Rep/Owner
Phone
(713) 955-7436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X TX Primary

Addresses

Primary practice location

11003 Resource Pkwy
Suite 105
Houston, TX 77089-6141

Mailing address

11003 Resource Pkwy
Suite 105
Houston, TX 77089-6141
Phone (713) 955-7436

Other identifiers 1

IdentifierTypeStateIssuer
3611600-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

11044 Bay Commerce Dr
#A
Houston, TX 77034
Phone (713) 955-7436

11044 Bay Commerce Dr
Houston, TX 77034

11003 Resource Pkwy
Ste 105
Houston, TX 77089
Phone (713) 955-7436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1508229394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896141",
            "telephone_number": "713-955-7436",
            "fax_number": "281-741-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896141",
            "telephone_number": "713-955-7436",
            "fax_number": "281-741-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAME PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "FARRUKH",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "713-955-7436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3611600-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.